| Hacienda Dental | |
|
1507 Panama Lane 102 Bakersfield CA 93307 | |
| (661) 398-5555 | |
| (661) 398-5510 |
| Full Name | Hacienda Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1507 Panama Lane, Bakersfield, California |
| Authorized Official Name and Position | Myrna Velasquez (OFFICE MANAGER) |
| Authorized Official Contact | 6618713736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hacienda Dental 4022 Niles St Bakersfield CA 93306-4630 Ph: (661) 871-3736 | Hacienda Dental 1507 Panama Lane 102 Bakersfield CA 93307 Ph: (661) 398-5555 |
| NPI Number | 1275772634 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275772634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33020 (California) | Primary |
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